2. E-Governance in Healthcare
• Deals with technical development, new way of implementing an
attitude and assurance for networked global thinking in order to
improve the health care locally, regionally, worldwide by using
Information and Communication Technology.
• E- Governance is an emerging field of health informatics.
• It refers to the organization and delivery of health services and
Information using the Internet and related technologies.
5. Evolution of E-Governance in Healthcare
• Improved quality of information and information
supply
• Reduction of process time
• Reduction of administrative burdens
• Cost reduction
• Improved service level
• Increased efficiency
• Increased citizen customer satisfaction
6. Functions of e-governance
• Simplifies the process
• Gather information
• Citizen participation
• Automation of services
• Revolutionizes government function
• Proper implementation
• Successful implementation
7. Benefits of E-Governance in Healthcare
• Gain efficiency for citizen and government:
• From reduction in the costs to provide healthcare in remote/rural areas
• eduction in the cost of maintaining and updating an extensive infrastructure to
provide healthcare services
• Manpower
• Specialist connectivity and availability
• Provide quality and affordable healthcare uniformly to the entire population
• Data availability would open many new avenues for research and development
• Quality healthcare is provided across the state irrespective of the person's socio-
economic characteristics
8. Health Challenges of Haryana
• Rapid Urbanization and very fast growth
• Poor infrastructure for urban poor
• Equity and accessibility issues
• Reaching the unreached
• Suboptimal planning
• Multiple stakeholders
• Poor Convergence
9. E Healthcare initiatives in Haryana
• Maternal and Infant Death Reporting System ( MIDRS)
• Anemia Tracking Module (ATM)
• Human Resource Information System (HRIS)
• Home Based Post Natal Care (HBPNC)
• High Risk Pregnancy Portal (HRP)
10. • Launched in 2012 as a centralised online reporting system which records
• Name based reporting of Maternal deaths, Infant deaths and still births
• Estimates available district-wise for NMR, IMR, U5MR, MMR
• Almost real time information available
• Provides up to date information till sub centre and village level.
• Reports are in the form of Line Lists and Abstract Reports.
Maternal and Infant Death Reporting System
(MIDRS)
12. Online System
of reporting
District
Control Room
(Referral
transport)
General public,
ANM/ASHA/
AWW etc.
Journalists
PRI
Deputy CMO
(NRHM)
CRS
registration
centers
Private
hospitals
Municipal
Committe
Urban RCH
centers
Medical
College/
District
Hospital/Urban
dispensary
CHC
PHC
ANM
ASHA
District
Informatics
Officer (DIO)
PO (ICDS)
CDPO
Supervisor
AWW
MIDRS reporting Algorithm
14. • Web based reverse tracking of anaemic women identified during delivery at public
health facilities
• Helps in identification of sub-centres where the ANC services are poor.
• Identification of Severely, moderately and mildly Anaemic women, Low Birth Weight
Babies etc.
• 10.64 Lakh women have been reported on the portal
• Out of which 72124 identified as severely anaemic
• 1.4 Lakh children have been identified as having low birth weight.
ANEMIA TRACKING MODULE (ATM)
15. Reverse Anemia Tracking Process
ATM REPORTING SYSTEM
15
Pregnant Women comes for
deliverydlivery
Pre-delivery check
up
Case sheet
Prepared
Data entered
through Portal Severe Anemic Cases
detected Information
passed to CMO
Letter sent by
CMO to ANM
Explanation
Reply by ANM
Step 1
Step 3 Step 4
Step 5
Step 6
Step 7
Step 7
Step 8
Supportive
Supervision
Step 8
16. Report Generation Steps
8
GH
SDH
CHC
PHC
ATM Online Entry
Module
Reports
Line Listing
Severe Anemic
Line listing
Hypertension
Cases Line Listing.
Low Birth Weight
Cases Line Listing
Referred cases line
listing
Abstract Report
District Consolidated
Facility Consolidated
Sub centre wise
report
Time Trend Total
Deliveries
Time Trend Severe
Anemic Cases
MC
Portal website
: http://nrhmharyana.gov.in/
Customized report selection option shown
based on user/ facility type
ATM Online Application
17. 2012-13 2013-14 2014-15 2015-16 2016-17 2017-18
Total Women
Reported
37201 194589 238909 247160 242615 104279
Total HB Recorded 34004 186541 216262 229189 230934 101295
Severely Anemic
Women
2641 15257 16235 17351 14535 6105
Percentage Severe
Anaemic
7.8 8.2 7.5 7.6 6.3 6
Low Birth Weight
Babies
3094 23084 31914 35114 34490 16123
ANEMIA TRACKING MODULE (ATM)
18. Human Resource Information System (HRIS)
• Launched in April 2016 to facilitate planning, monitoring and
optimum utilization of available human recourse for Health
• Health facility wise information on
• Posts sanctioned
• Filled positions
• Detail of all contractual employees
• Information generated on a single click.
• Generation of Electronic Challan cum Return (ECR) file and is
submitted to Employee Provident Fund organization of India
(EPFO).
• OUTPUT- Rationale deployment of Human Resource
(contractual ) in State
20. • Reports generated by the software is
used for action by State,District,Block
• HBPNC cards are entered in to portal
at PHC level.
• Cards are verified and countersigned
by ANM, LHV & MO.
• HBPNC cards submitted by ASHA to
ANM & then to PHC
Concurrent
analysis reports
for action can be
seen online at
CHC, District ,
State level
simultaneously
Home Based Post Natal Care(HBPNC)
• Home Based Post Natal Care package has been designed to enable
the ASHA to provide post natal services to newborns and mothers at
home.
• HBPNC portal provides data in the form of percentages of Post
Natal Care(PNC) coverage, Mothers and Newborns referred, Home
deliveries covered through HBPNC services by ASHA
24. E Healthcare services progress!!
• Online appointments
• Advance Queues Management System
• Online viewing of reports
• Online payments
• Barcode and Biometric enabled system
• OT integration
• Tele-medicines
• Help Desk and Call Centre
25. Advance Queue Management System (QMS)
• Improve productivity and
reduction in waiting time
• The QMS system covers all the
services including pharmacy,
Lab., and radiology services such
as blood tests, X-ray, ECG etc.
26. E Healthcare:Implementation Challenges
• Barriers like cost and expenditure on the required
equipments as well as on the maintenance.
• Lack of basic hospital infrastructure
• Lack of awareness of new technologies.
• Lack of suitable HMIS solution
• Difficult to adopt new IT solutions by old staff.
